fracture solutions case studies - aap
TRANSCRIPT
Locking Compression Technology by aap
m Plate m Screw Headdetailed partial view
Two-Part combined
Fixation zone
ne Hole ne Screw ne Step
Introduction •
1Case StudiesFracture Solutions
Fracture Solutions • Case Studies
LOQTEQ®, the new plating system of aap Implante AG, offers a comprehensive portfolio of
anatomically preformed locking plates for a professional and efficient fracture management.
The LOQTEQ® system has been in clinical use since 2011 and has been used for more than
30,000 surgical procedures in 30 countries.
LOQTEQ® stands for Locking AND Compression Technology, which combines the principles of
bridging plate osteosynthesis and angle-stable interfragmentary compression with one screw,
in one plate hole, in one surgical step.
LOQTEQ® plates and screws are designed and manufactured exclusively in Berlin, Germany and
stand for high quality “Made in Germany”.
The LOQTEQ® proprietary technology is a result of many years of intensive Research &
Development.
LOQTEQ® screws feature a unique combination of a cone and a thread,
which allows for stable plate-screw connection, and helps to prevent
cold-welding for easy explantation of the implants.
LOQTEQ® plates have been designed for improved anatomical fit to the
bone, high degree of mechanical stability and feature a highly polished
surface to prevent soft-tissue ingrowth.
As a result of building on the excellent clinical outcomes of earlier designs,
the LOQTEQ® anatomical plating system offers advanced solutions for
trauma surgery.
This booklet presents a selection of clinical cases with aap´s LOQTEQ®
anatomical plating system across different hospitals and countries.
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
2 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationClavicle shaft fracture, left AO 15-B2
PatientFemale, 30-year-old
ProductLOQTEQ® Clavicle Shaft Plate 3.5, 8 holes, L 95, L
ClinicAsklepios Clinic Lich, Germany
preoperative
postoperative
postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
3Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
IndicationDislocated lateral clavicle fracture, left Jäger, Breitner 3
PatientMale, 25-year-old
ProductLOQTEQ® Superior Lateral Clavicle Plate2.7/3.5, 6/4 holes, L 63, L
ClinicUniversity Hospital of Giessen, Germany
preoperative
preoperative
postoperative
postoperative
3M postoperative
• Upper Extremities Fracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
4 Case StudiesFracture Solutions
IndicationDislocated multi-fragment clavicleshaft fracture, leftAO 15-C2
PatientMale, 47-year-old
ProductLOQTEQ® Clavicle Shaft Plate 3.5, 10 holes, L 115, L
ClinicUniversity Hospital of Giessen, Germany
preoperative
preoperative
postoperative
postoperative
6M postoperative
Upper Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
5Case StudiesFracture Solutions
IndicationClavicle shaft fracture, rightAO 15-A2
PatientMale, 58-year-old
ProductLOQTEQ® Clavicle Shaft Plate 2.7/3.5,6/4 holes, L 63, R
ClinicUniversity Hospital of Giessen, Germany
postoperative
postoperative
3M postoperative
3M postoperative
preoperative
preoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
6 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationMulti-fragment clavicle fracture, rightAO 15-C1
PatientMale, 19-year-old
ProductLOQTEQ® Clavicle Shaft Plate 3.5, 10 holes, L 115, R
ClinicUniversity Hospital of Giessen, Germany
preoperative
preoperative
postoperative
postoperative
3M postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
7Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
IndicationProximal humerus fractureAO 11-A2
PatientMale, 38-year-old
ProductLOQTEQ® Proximal Humerus Plate 3.5,5 holes
ClinicLentini Hospital, Sicily, Italy
preoperative
postoperativepostoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
8 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationSubcapital multi-fragment humerusfracture, rightAO 11-B1
PatientFemale, 47-year-old
ProductLOQTEQ® Proximal Humerus Plate 3.5, 5 holes, L 105, R
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative
preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
9Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
preoperativepreoperative
preoperative preoperative postoperative postoperative
Indication1. Humerus fractureAO 12-C3
2. Revision surgery of non-union with autogenious/allogenious bone grafting, osteosynthesis removal and debridement
ProductLOQTEQ® Broad Plate 4.5, 10 holes
ClinicUniversity Hospital of Giessen, Germany
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
10 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
preoperative
postoperative
preoperative
postoperative
IndicationDistal humerus fracture, right AO 13-C3
PatientFemale, 48-year-old
ProductDouble Plating 90° withLOQTEQ® Distal Medial Humerus Plate,3 holes andLOQTEQ® Distal Dorsolateral HumerusPlate, 2 holes
ClinicLahn-Dill-Kliniken, Dillenburg
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
11Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
preoperative preoperative
postoperative postoperative
IndicationDistal humerus fracture AO 13-C2
PatientMale, 25-year-old
ProductLOQTEQ® Distal Medial Humerus Plate 2.7 / 3.5, 5 holesLOQTEQ® Distal Dorsolateral HumerusPlate 2.7 / 3.5, 3 holes
ClinicAsklepios Clinic Lich, Germany
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
12 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationProximal ulna fracture with luxationand radius head fracture, right AO 21-A1
PatientMale, 38-year-old
ProductLOQTEQ® Olecranon Plate, 4 holes, L 112, R
ClinicUniversity Hospital of Giessen, Germany
preoperative
preoperative
preoperative
preoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
13Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
postoperative postoperative
3M postoperative 3M postoperative
preoperative
preoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
14 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationDistal humerus fracture, right AO 13-C3
PatientFemale, 80-year-old
ProductDouble Plating 180° withLOQTEQ® Distal Medial Humerus Plate,3 holes, L 98, R andLOQTEQ® Distal Lateral Humerus Plate, 5 holes, L 125, R
ClinicLahn-Dill-Kliniken, Dillenburg
preoperative
postoperative
preoperative
postoperative
Upper Extremities Fracture Solutions•
IndicationForearm fractureAO 22-A3
PatientFemale, 51-year-old
ProductLOQTEQ® Straight Plate 3.5, 6 holeswith LOQTEQ® compression
ClinicAsklepios Clinic Weissenfels, Germany
postoperative
preoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
15Case StudiesFracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
16 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationUlna shortening osteotomy, right
PatientFemale, 23-year-old
ProductLOQTEQ® Straight Plate 3.5, 6 holes, Rwith LOQTEQ® compression
ClinicUniversity Hospital of Giessen, Germany
preoperative
postoperative
preoperative
postoperative
Upper Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
17Case StudiesFracture Solutions
IndicationUlna shaft fracture AO 22-A1
ProductLOQTEQ® Straight Plate 3.5, 8 holeswith LOQTEQ® compression
ClinicElbe Hospital Stade, Germany
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
18 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationDistal radius fracture, right
PatientMale, 51-year-old
ProductLOQTEQ® VA Volar Distal Radius Plate 2.5, narrow, XL, R
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
19
Upper Extremities Fracture Solutions•
Case StudiesFracture Solutions
IndicationComminuted distal radius fracture,left
PatientFemale, 72-year-old
ProductLOQTEQ® VA Volar Distal Radius Plate 2.5, narrow, 3 holes, L
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
20 Case StudiesFracture Solutions
• Upper Extremities Fracture Solutions
IndicationFractures of distal radius, ulnar styloidprocess and scaphoid
PatientMale, 22-year-old
ProductLOQTEQ® VA Volar Distal Radius Plate2.5, broad, 3 holes, LLOQTEQ® VA Distal Ulna Hook Plate 2.5
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
21Case StudiesFracture Solutions
Upper Extremities Fracture Solutions•
IndicationRevision after peri-implant fracture ofa distal radius osteosythesis
PatientFemale, 86-year-old
ProductLOQTEQ® VA Volar Distal Radius Plate2.5, narrow, XL, L
ClinicHarzklinikum Dorothea Christiane Erxleben GmbHQuedlinburg, Germany
preoperative preoperative
postoperative postoperative
Lower Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
23Case StudiesFracture Solutions
• Lower Extremities Fracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
24 Case StudiesFracture Solutions
IndicationPelvic fracture
PatientMale, 65-year-old
ProductLOQTEQ® Reconstruction Plates, 10 holes, 5 holes and 4 holes
ClinicShahid Beheshti Medical UniversityTaleghani Hospital, Teheran, Iran
preoperative
postoperative
Lower Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
25Case StudiesFracture Solutions
IndicationDistal femur fracture, left AO 33-A1
PatientFemale, 84-year-old
ProductLOQTEQ® Distal Lateral Femur Plate 4.5,11 holes, L
ClinicAsklepios Clinic Weissenfels, Germany
preoperative preoperative
postoperative postoperative
• Lower Extremities Fracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
26 Case StudiesFracture Solutions
IndicationPeriprosthetic femur fracture following total knee arthoplasty Lewis & Rorabeck Type 2
PatientFemale, 74-year-old
ProductLOQTEQ® Distal Lateral Femur Plate 4.5, 7 holes
ClinicAsklepios Clinic Weissenfels, Germany
preoperative preoperative
postoperative postoperative
Lower Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
27Case StudiesFracture Solutions
IndicationPeriprosthetic femur fracturefollowing total knee arthoplasty Lewis & Rorabeck Type 2
PatientFemale, 74-year-old
ProductLOQTEQ® Distal Lateral Femur Plate 4.5,9 holes
ClinicSt. Joseph University Hospital Beirut, Lebanon
preoperative preoperative
postoperative postoperative
• Lower Extremities Fracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
28 Case StudiesFracture Solutions
IndicationComminuted tibia head fracture, leftAO 41 – B3
PatientMale, 33-year-old
ProductLOQTEQ® Proximal Lateral Tibia Plate 4.5, 3/8 holes, L 149, L
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative
postoperative
postoperative
4M postoperative
Lower Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
29Case StudiesFracture Solutions
4M postoperative
preoperative preoperative preoperative
5M postoperative 5M postoperative
• Lower Extremities Fracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
30 Case StudiesFracture Solutions
IndicationTibial head fracture with depression of the lateral plateau and extension of the fracture to shaftwith a split-wedge fragment, left AO 41-C2
PatientMale, 68-year-old
ProductLOQTEQ® Prox. Lateral Tibia Plate 4.5,3/12 holes, L 221, L
ClinicUniversity Hospital of Giessen, Germany
preoperative preoperative
postoperative postoperative
preoperative
Lower Extremities Fracture Solutions•
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
31Case StudiesFracture Solutions
6M postoperative 6M postoperative 11M postoperative 11M postoperative
Case StudiesFracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
32
• Lower Extremities Fracture Solutions
IndicationBilateral proximal tibia fracture, left AO 41-C1
PatientFemale, 46-year-old
ProductLOQTEQ® Proximal Lateral Tibia Plate 3.5,3/6 holes, LLOQTEQ® Proximal Medial Tibia Plate 3.5,3 / 6 holes. L
ClinicAgaplesion Bethesda Hospital Wuppertal, Germany
preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
33Case StudiesFracture Solutions
Lower Extremities Fracture Solutions•
IndicationProximal tibia split depression fracture, rightAO 41-C3
PatientFemale, 66-year-old
ProductLOQTEQ® Proximal Medial Tibia Plate 3.5,6 holes, RLOQTEQ® Proximal Lateral Tibia Plate 3.5,12 holes, R
ClinicAsklepios Clinic Weissenfels, Germany
preoperative preoperative
preoperative preoperative
preoperative preoperative
postoperative postoperative
34 Case StudiesFracture Solutions
• Lower Extremities Fracture Solutions
IndicationBilateral tibia fractures, Proximal intra articular fracture, right AO 41-C3.3
PatientFemale, 91-year-old
ProductLOQTEQ® Proximal Lateral Tibia Plate 3.5, 12 holes, R
ClinicSt. Elisabeth Hospital, Straubing, Germany
preoperative
postoperative
preoperative
postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
35Case StudiesFracture Solutions
Lower Extremities Fracture Solutions•
IndicationDistal tibia fracture, leftAO 43-A1
PatientMale, 51-year-old
ProductLOQTEQ® Distal Medial Tibia Plate 3.5,10 holes, L
ClinicAsklepios Clinic Weissenfels, Germany
preoperative
postoperativepostoperative
• Lower Extremities Fracture Solutions
preoperative
postoperative
preoperative
postoperative
36 Case StudiesFracture Solutions
IndicationDistal tibia fracture, leftAO 43-A1
PatientMale, 41-year-old
ProductLOQTEQ® Distal Medial Tibia Plate 3.5,8 holes, L
ClinicUniversity Hospital of Giessen, Germany
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
37Case StudiesFracture Solutions
Lower Extremities Fracture Solutions•
IndicationBimalleolar ankle joint fracture, rightAO 44-B3
PatientMale, 75-year-old
ProductLOQTEQ® 1/3 Tubular Plate 3.5,7 holes, R
ClinicHospital St. Elisabeth Straubing, Germany
preoperative preoperative
postoperative postoperative
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
38 Case StudiesFracture Solutions
• High Tibia Osteotomy
IndicationGonarthrosis medial compartmentgrade 3, tibial malform 10°
PatientMale, 51-year-old
ProductLOQTEQ® High Tibia Osteotomy Plate 4.5, Open Wedge Osteotomy
ClinicOrthopedic Surgery Munich Hospital (OCM), Germany
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
39Case StudiesFracture Solutions
Distal Femur Osteotomy•
IndicationUnicompartimental lateral gonarthro-sis with valgus deformity of the distalfemur and pain in the lateral joint
PatientFemale, 51-year-old
ProductLOQTEQ® Distal Femur OsteotomyPlate 4.5, Closed Wedge Osteotomy
ClinicMartin-Luther-Hospital Berlin, Germany
preoperative
postoperativepostoperative
Case StudiesFracture Solutions
aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany
40
• Notes
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aap Implantate AGLorenzweg 5 • 12099 BerlinGermany
Phone +49 30 75019-0Fax +49 30 75019-111
Subject to technical modifications, errors and misprints.
© aap Implantate AGWP 2FS010 EN / 1603
Layout, typesetting: deSIGN graphic - Wolfram Passlack
aap Implantate AGLorenzweg 5 • 12099 BerlinGermany
Phone +49 30 75019-0Fax +49 30 75019-111
1)04
0424
0933
4528
(10)1603
WP 2FS010
EN / 1603